Song Mingzhi, Sun Xiaohong, Sun Ran, Liu Tao, Li Gang, Liu Song, Lu Ming, Qu Wei
Department of Orthopaedics, The First Affiliated Hospital of Dalian Medical University, 222 Zhong Shan Road, 116011 Dalian, Liaoning, People's Republic of China; Department of Orthopaedics, The Third Affiliated Hospital of Dalian Medical University, Jinpu New Area, Liaoning, People's Republic of China.
Department of Orthopaedics, The First Affiliated Hospital of Dalian Medical University, 222 Zhong Shan Road, 116011 Dalian, Liaoning, People's Republic of China; Department of Nursing, The First Affiliated Hospital of Dalian Medical University, 222 Zhong Shan Road, 116011 Dalian, Liaoning, People's Republic of China.
J Clin Neurosci. 2016 Oct;32:130-3. doi: 10.1016/j.jocn.2015.12.047. Epub 2016 Jul 29.
Ulnar nerve tuberculoma is a rare case of tuberculous involvement of the peripheral nerve, which has attracted the attention of physicians. Here, we report the case of a patient with ulnar nerve tuberculoma. A 25-year-old patient presented progressive numbness on his left hand and forearm, and typical symptoms were not evident. The patient had no history of trauma or contact with any individuals with active tuberculosis. Exploratory surgery was performed and a granuloma-like lesion was found on the left ulnar nerve of the patient. The lesion was completely removed. We prepared hand-painted renderings for this rare disease for the first time, to the best of our knowledge. Histopathological examination of the specimen confirmed the presence of tuberculoma. After 1year of adequate antitubercular treatment, the patient recovered fully. Doctors need the most detailed radiographic information and histological results to confirm the diagnosis of this rare disease. At present, surgery is an effective way to resolve symptoms of ulnar nerve tuberculoma.
尺神经结核瘤是一种周围神经结核累及的罕见病例,已引起医生的关注。在此,我们报告一例尺神经结核瘤患者的病例。一名25岁患者出现左手和前臂进行性麻木,且典型症状不明显。该患者无外伤史,也未接触过任何活动性肺结核患者。进行了探查手术,在患者左侧尺神经上发现一个肉芽肿样病变。该病变被完全切除。据我们所知,我们首次为这种罕见疾病准备了手绘效果图。标本的组织病理学检查证实存在结核瘤。经过1年充分的抗结核治疗,患者完全康复。医生需要最详细的影像学信息和组织学结果来确诊这种罕见疾病。目前,手术是解决尺神经结核瘤症状的有效方法。